Yini i-Chylothorax futhi yiziphi izimbangela ezinkulu

-Delile

• Ziyini izimbangela
• Yelashwa kanjani
• Ungayibona kanjani

I-Chylothorax ivela lapho kunqwabelana kwe-lymph phakathi kwezendlalelo ezibeka amaphaphu, okuthiwa i-pleurae. I-lymph ivame ukuqoqeka kulesi sifunda ngenxa yesilonda emithanjeni ye-lymphatic yesifuba, engenzeka ngenxa yezimbangela ezinjengokuhlukumezeka, isimila, ukutheleleka noma ngenxa yokuguqulwa kokuzalwa emzimbeni womntwana osanda kuzalwa.

I-Chylothorax ingadala izimpawu nezimpawu ezifana nokuphefumula kancane, ubuhlungu besifuba noma ukukhwehlela, kanti ukwelashwa kwenziwa ngudokotela wamaphaphu noma udokotela ohlinzayo we-thoracic, ongafaka ukuzila ukudla noma ukusetshenziswa kwezidakamizwa ukunciphisa ukukhiqizwa ketshezi ezitsheni ze-lymphatic, ku ngaphezu kokudonswa kwamanzi.oketshezi nokuhlinzwa kwesifunda ukulungisa imbangela yaso.

Ukuqoqwa kwanoma iyiphi into phakathi kwe-pleura kubizwa ngokuthi yi-pleural effusion, kanti i-chylothorax uhlobo olungajwayelekile kakhulu lwale nkinga, olungenzeka futhi ngenxa yokuqoqwa kuketshezi, igazi, ubomvu noma umoya, isibonelo. Qondisisa kangcono ukuthi yini i-pleural effusion futhi kwenzeka kanjani.

Ziyini izimbangela

Ngokuvamile, kuvela i-chylothorax ngenxa yokuvinjelwa noma ubunzima bokugeleza kwe-lymph ezitsheni ze-lymphatic, kanye nezilonda kule mikhumbi noma ukukhubazeka kokuzalwa komzimba wayo. Izimbangela eziyinhloko zifaka:

• Ukuhlukumezeka esifubeni, ngenxa yezingozi, ukuwa, ukulimala kwezikhali noma ukuhlinzwa;
• Izimbangela zokuzalwa, njenge-atresia yomgudu we-thoracic, i-fistula yokuzalwa yomgudu we-thoracic, ukukhubazeka emithanjeni ye-lymph noma ngisho nokushaya ngesikhathi sokubeletha ingane;
• Izicubu ezinobungozi noma ezimbi. Bheka ukuthi uwuthola kanjani umdlavuza we-lymphatic;
• I-venous thrombosis;
• Izifo ezithinta izindlela ze-lymphatic, njenge-filariasis, i-tuberculous lymphadenitis noma i-lymphangitis. Qonda ukuthi i-filariasis ivela kanjani, isifo esaziwa nangokuthi i-elephantiasis;
• I-aortic aneurysm;
• Izifo ezidala ukuqoqwa kwezicubu ezifana ne-amyloidosis noma i-sarcoidosis,

Ezinye izimbangela zibandakanya i-pancreatitis, i-cirrhosis yesibindi noma amanye ama-syndromes aphazamisa ukujikeleza kwegazi noma kwe-lymphatic.

Igama i-chylothorax lisuselwa endaweni yobisi ukuthi uketshezi lwemikhumbi ye-lymphatic lunayo, okuwumphumela wamafutha amaningi ngokweqile ekwakhiweni kwawo, ngoba izitsha ze-lymphatic zimunca ingxenye yamafutha ekudleni okusemathunjini.

Imikhumbi yeLymphatic inemisebenzi ebalulekile emzimbeni, kusuka ekumungeni uketshezi oluningi oluvela ezicubu zomzimba, ukubamba iqhaza kokuphendula komzimba kanye nokuhanjiswa kwamafutha. Imikhumbi eyinhloko futhi emikhulu yalolu hlobo yimizila ye-thoracic, etholakala kwesobunxele nomsele we-lymphatic osesandleni sokudla sesifuba. Funda kabanzi mayelana nokuthi isebenza kanjani nokubaluleka kohlelo lwe-lymphatic.

Yelashwa kanjani

Ukwelashwa kwe-Chylothorax kuboniswa yi-pulmonologist futhi kufaka nezindlela zokwehlisa ukukhiqizwa koketshezi ezitsheni ze-lymphatic, njengokudla okunamafutha amancane, ukuzila ukudla, ukudla kuphela ngama-catheters emithanjeni noma ukusebenzisa imishanguzo efana neSomatostatin noma i-Octreotide, esebenza ukunciphisa uketshezi lokugaya ukudla.

I-Chemotherapy noma i-radiation therapy ingakhonjiswa ukwelapha izicubu noma amaqhubu avimbela ukuhamba kwemikhumbi ye-lymphatic. Ukuhlinzwa okwenziwe ngamanzi oketshezi noma ngokulungiswa kokushintshwa kwemigudu ye-lymphatic kungadingeka ezimweni lapho ukwelashwa kwemithi kwakunganele.

Ungayibona kanjani

Izimpawu ezingavela ngenxa ye-pneumothorax zifaka:

• Ukuphefumula okufishane;
• Ubuhlungu besifuba;
• Ukuphefumula ngokushesha;
• Khwehlela;
• Ukushaya kwenhliziyo okusheshayo;
• Yehlisa umfutho wegazi.

I-X-ray yesifuba ingakhombisa indawo yokuqongelela uketshezi, kepha, i-chylothorax iqinisekiswa kuphela ngemuva kokukhishwa kwesampula yalolu ketshezi, ekwelashweni okubizwa nge-thoracentesis, okukhombisa uketshezi olunobisi futhi luzohlaziywa ilabhorethri.

Olunye uvivinyo olungenziwa ukusiza ukuxilongwa lubandakanya isifuba se-ultrasound, i-MRI, noma i-thoracic duct lymphography, ngokwesibonelo, esisiza ukuthola isilonda nokusihlukanisa nezinye izimbangela.